Page 71 - Evaluation for Norm Ross

.
/0123
456FGH)(%
I(%JGK(K&(
L(MHNG%(
I+*)
#$%&
'()*+&)
,-
5
7892:
;2
<=>?<
@135:
82
A896
3516BC
B6;D56;1E
#&M
OP$
Q
RSTU
RV$)&U
RW<=X?Y

FGH)(%
I(%JGK(K&(
L(MHNG%(
I+*)
WH[a
OP$
Q
RSTU
RV$)&U
RW<=X?Y
?<<Y?U
GKH\G&H$K]
^1;356
_56`1252D5jQ(M*N&H,+()]W(G+&a
T(K(kH&)]g)&HJG&(MK*G+
W(G+&a[
V$)&)]Zl(%G++
#&G%[]
hij
g)&Q%*[
V$)&)I 'G&HK
gK%$++
he786
:69~
]w$IG%&
TI%(JH*JM*N&H$K
'(
Z%[HJG&(M
SKK*G+]
hijL$K&a+-%(JH*J]
hihij hij SKGKM
Q%*ijosvqurv2B09:53
opqrst
B83D3C;3
/012
~8DNG%(‚)()&
%G&HK[
L(MHaH[aƒ„
3D163
x5: _012
x8y83D
z56D
87
z/52:opqvvv
e5D
|92
'(&GH+
m22910n
opqrst
ouvEvvd510DC
_0129BD;@05n
ov
x8BD86
fC8;B5nBD863
786{;B53_8B}5D;2~
;`;Dn2€486}
FGH)(%
I(%JGK(K&(
L(MHNG%(
I+*)
TG)HN
OP$
Q
RSTU
RV$)&U
RW<=X?Y
W*JGKGVa$HN(
WX<=bY=<c
RIIZU
RWX<=bY=<cY?Ug)&HJG&(MK*G+
W(G+&a[
V$)&)]Zl(%G++
#&G%[]
hij
Z%[GKH\G&H$K]
d9`121
e239612B5
f8`/12AN&H,+()]W(G+&a
T(K(kH&)]SKGKM
Q%*ijosvqt‡v2B09:53
opqrst
B83D3t
89D
87
„
3D163gK%$++
'(&GH+
m22910n
opqrst
o x8BD86
fC8;B5n
he786
:69~
x5:o„v:5:9B
]w$IG%&
TI%(JH*JM*N&H$K
'(
Q%*[
V$)&)IvEvvd510DC
_0129BD;@05nv
122910D;@05
m2A
x8BD8687
_8B}5D;2~
;`;Dn
e2
12:5D486}
2€486}
|9D
z/52:osvqvvvD€87€2pq†vv
e5D
|9o2
?<=Y?U
GKH\G&H$K]
^1;356
_56`1252D5jQ(M*N&H,+()]W(G+&a
T(K(kH&)]g)&HJG&(MK*G+
W(G+&a[
V$)&)]Zl(%G++
#&G%[]
hij
g)&Q%*[
V$)&)I 'G&HK
gK%$++
he786
:69~
'(
]w$IG%&
TI%(JH*JM*N&H$K
Z%[HJG&(M
SKK*G+]
hijL$K&a+-%(JH*J]
hihij hij SKGKM
Q%*ijosvqp†v2B09:53
opqrst
B83D3C;3
/012
~8DNG%(‚)()&
%G&HK[
L(MHaH[aƒ„
3D163
Only one of your
|92
'(&GH+
m22910n
opqrst
orˆEvvd510DC
_0129BD;@05n
ov
x8BD86
fC8;B5nBD863
786{;B53_8B}5D;2~
;`;Dn2€486}
x5: _012
x8y83D
z56D
87
z/52:otq„vv
e5D
doctors is listed in
this plan's network,
and it has a $500
g)&HJG&(M
SKK*G+]
hijL$K&a+-%(JH*J]
hijQ(M*hij hij 'G&HK medical deductible
and high out-of-
pocket limits.
?=>Y?U
GKH\G&H$K]
^1;356
_56`1252D5jQ(M*N&H,+()]W(G+&a
T(K(kH&)]g)&HJG&(MK*G+
W(G+&a[
V$)&)]Zl(%G++
#&G%[]
hij
g)&Q%*[
V$)&)I 'G&HK

!"
gK%$++
he786
:69~
'(
]w$IG%&
TI%(JH*JM*N&H$K
Z%[HJG&(M
SKK*G+]
hijL$K&a+-%(JH*J]
hihij hij SKGKM
Q%*ijosvqˆ„v2B09:53
opqrst
B83D3C;3
/012
~8DNG%(‚)()&
%G&HK[
L(MHaH[aƒ„
3D163
'(&GH+
m22910n
opqrst
o„Evvd510DC
_0129BD;@05n
ov
x8BD86
fC8;B5nBD863
786{;B53_8B}5D;2~
;`;Dn2€486}
x5: _012
x8y83D
z56D
87
z/52:opq†vv
e5D
|92